Organization Active NPI

Cardiovascular Center of Fort Worth, LP

  • Clinical Medical Laboratory
  • Fort Worth, TX
National Provider Identifier
1831253269
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
291U00000X - CLINICA Issued in TX
Legal business name
CARDIOVASCULAR CENTER OF FORT WORTH, LP
Doing business as
Cardiovascular Institute of Fort Worth
Practice address
1650 W Rosedale St
Suite 206
Fort Worth, TX 76104-7400
Phone
(817) 877-0052
Fax
(817) 877-4103
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James C Scoggin
Title
Senior Vice President
Phone
(972) 401-8772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 291U00000X - CLINICA TX Primary

Addresses

Primary practice location

1650 W Rosedale St
Suite 206
Fort Worth, TX 76104-7400

Mailing address

1650 W Rosedale St
Suite 206
Fort Worth, TX 76104-7400
Phone (817) 877-0052

Other names 1

  • Cardiovascular Institute of Fort Worth Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2112031Marathon Health - Cargill Fort Worth1650 W Rosedale St Suite 203, Fort Worth, TX 76104Certificate of waiverApr 19, 2028
45D2161288Innovations Medspa, PA - Fort Worth1650 W Rosedale Suite 101, Fort Worth, TX 76104Certificate of waiverJan 29, 2027
45D2280459Paragon Fort Worth Infusion Center1650 West Rosedale St 220, Fort Worth, TX 76104Certificate of waiverApr 18, 2027

National Provider Directory

National Provider Directory

Locations

1650 W Rosedale St
Ste 206
Fort Worth, TX 76104
Phone (817) 348-8813

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1831253269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W ROSEDALE ST",
            "address_2": "SUITE 206",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047400",
            "telephone_number": "817-877-0052",
            "fax_number": "817-877-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W ROSEDALE ST",
            "address_2": "SUITE 206",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047400",
            "telephone_number": "817-877-0052",
            "fax_number": "817-877-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CENTER OF FORT WORTH, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "SCOGGIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "972-401-8772"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "291U00000X - CLINICA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiovascular Institute of Fort Worth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.